Treatment Of School-Age Children With Femoral Shaft
Fracture: Spica Casting Versus Titanium Elastic Nail
Fixation
İSMAİL HAKKI KORUCU, FAİK TÜRKMEN, ERDİNÇ ACAR, VEYSEL BAŞBUĞ, FAHRİ YURTGÜN, SERDAR TOKER
- Year : 2016
- Vol : 32
- Issue : 4
- Page :
80-83
Femoral shaft fractures are mostly seen in children and all cases
of this condition require hospital admission. In school-age children
(5 to 12 years), femoral fractures may be treated with elastic nails
or spica cast. The current study aims to compare the outcomes
of elastic nail to the immediate spica cast method for school-age
children with femoral fracture. We evaluated the patients who had
undergone immediate hip spica cast (IHSC as Group 1; n=31) or
flexible intramedullary titanium nail (FITN as Group 2; n=31) for
femoral fracture. Age, sex, cause of fracture, localization of the
fracture, cost of treatment, times of hospitalization, radiologic and
clinical assessment of femoral union, condition of the wound and soft
tissue, times of union and walking were recorded. The mean followup
was 58 (26-62) months. All fractures were healed. The time for
weight-bearing and walking were shorter (39/52) in Group 2 than it
was in Group 1 (52/63). In terms of cost, IHSC (114.99$) was cheaper
than FITN (380.82$). Although IHSC is still a a widely accepted
method of treatment, with the use of modern surgical techniques and
implants, satisfactory outcomes of fracture healing can make FITN a
better surgical option among all other treatments.
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Description :
None of the authors, any product mentioned in this article,
does not have a material interest in the device or drug. Research,
not supported by any external organization.
grant full access to the primary data and, if requested by the magazine
they agree to allow the examination of data.
Treatment Of School-Age Children With Femoral Shaft
Fracture: Spica Casting Versus Titanium Elastic Nail
Fixation
2016,
Vol.
32
(4)
Received : 23.03.2016,
Accepted : 23.03.2016,
Published Online : 13.08.2018
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ISSN:1017-6616;
E-ISSN:2149-8059;